How many of you are finding that our patient population is much larger? Well I am. Just last week I had a call for a shrinker for a trans -tibial amputee that was over 400 lbs. The problem is the large circumference difference between the knee and the thigh and the inability to keep the top of the shrinker from rolling down. As I stressed over this, I thought about using an AK shrinker and uitilize the belt to hold it up, but the AK shrinker is a straight tube and would not handle the large taper from the thigh to the distal end. Well it just happens that we make a lower extremity dressing retention and compression garment that is modeled after our AK shrinker but is tapered to go down over the shin and onto the forefoot. As it turned out the lower extremity dressing retention and compression garment worked great. The top was large enough to contain the
entire thigh, the belt was long enough to go around the waist, and the taper was just right to provide compression on the residual limb. We chose to stitch the distal end to give a custom look but you could just add a bone ring distally to close. Try it out , it may help solve a problem. Good Luck!
Doyle, Knit-Rite Technical Director, CP






